Daily Count for Inventory Control
Complete the below and submit at the end of day.
Make note of your start of day supplies.
Date
*
First Name
*
Last Name
*
Location
*
Choose the correct testing site (scroll down for more Locations)
PCR Test Performed
*
Rapid Test Forms Count
*
Check the Box for Items needed for next day (Optional)
Rapid Test Forms (50 Count)
Gloves - Large (100 Count)
Gloves - Medium (100 Count)
Gloves - Small (100 Count)
Face Mask (50 Count)
Hand Sanitizer (1 Bottle)
Sanitizing Wipes (1 Pack)
Black Pen (5 Count)
Black Sharpies (4 Count)
Notes:
Lab Bag Picture
Take a Picture of the Lab bag numbers before sending to lab
PDF, JPEG, JPG, PNG or GIF
Submit